Complaint Form - Kansas Attorney General

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COMPLAINT FORM
Mail to:
Private Detective Licensing
Office of Attorney General
th
120 SW 10
Ave
Topeka, Kansas 66612-1597
1. Licensed private detective and/or agency against whom complaint is filed:
Name
___________________________________________________________
(Last name, First Name)
Agency Name
___________________________________________________________
(if applicable)
Address
___________________________________________________________
(Full Street address)
____________________________________________________________
(City)
(State)
(Zip code)
Phone
____________________________________________________________
(area code, number & extension)
2. Person filing complaint:
Name
___________________________________________________________
(Last name, First Name)
Address
___________________________________________________________
(Full Street address)
___________________________________________________________
(City)
(State)
(Zip code)
Phone
___________________________________________________________
(area code, number & extension)
Updated 8/2012

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